NCLEX-PN Pharmacology-Hematological
Thromboembolic complications
Patient has just returned from surgery. The surgeon has prescribed lepirudin (Refludan). This is to prevent:
Inhibit thrombus formation
Patient is scheduled for a cardiac catheterization. Tirofiban (Aggrastat) is prescribed to:
constipation
Patients on ferrous sulfate should be monitored for:
aspirin
OTC med to avoid with warfarin
hypertension
A client in renal failure is receiving epoetin alfa (Epogen). The nurse should monitor the client for which adverse effect of this medication?
tarry stools (upper GI bleeding)
A client with no history of heart disease has experienced an acute myocardial infarction and been given thrombolytic therapy with tissue plasminogen activator (t-PA). The patient is likely experiencing a complication of this therapy if which occurs?
Protamine sulfate
Antidote to have on hand for IV heparin therapy
Tomato juice, orange juice (no calcium, has vitamin C)
Drink that is all right to take iron
subcutaneous route (patient's kidneys not functioning)
Patient has chronic kidney disease and is receiving dialysis. Epoetin alfa (Epogen) has been prescribed for the client. How should the nurse prepare to administer the medication?
Protamine sulfate
Enoxaparin sodium (Lovenox) is prescribed for the client following hip surgery. The nurse prepares to have which available in the event that an overdose of the medication occurs?
Through a straw (prevent stains on teeth)
How parents should give children iron supplements
Z-track
How to administer iron dextran (InFeD) IM
CBC
Test to monitor effectiveness of folic acid supplementation
Administer the next dose of warfarin
The nurse is caring for a patient who is receiving maintenance therapy of warfarin sodium (Coumadin). The client's international normalized ratio (INR) is 3. The nurse should:
Refrigerate the medication
The nurse is reinforcing instructions to a client regarding epoetin alfa (Epogen) that will be administered subcutaneously by the client at home. The nurse tells the client to do which action?
Foods rich in vitamin K (be consistent while on warfarin; avoid while in the hospital)
beef liver, broccoli, Brussels sprouts, cabbage, parsley, soy beans, greens, spinach, and other green leafy vegetables